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1 Analysis of Results: CHG Healthcare April Research Prepared for Research Prepared for

2 Most LT Physicians Worked with More Than One Agency A majority (56%) of locum tenens physicians have worked with more than one agency. Because of this, positioning and communication matters. The market is competitive. Worked with more than one agency 56% Worked with one agency 29% Never worked with an agency 16% Among locum tenens physicians: How many locum tenens agencies have you ever worked with? 7 Research Prepared for

3 Using Multiple Agencies to Maximize Potential Job Opportunities Multiple job opportunities is the main reason for working with more than one agency. The more job opportunities physicians have, the more chances they have for higher compensation levels. Reasons for Working with More Than One Agency Access to more jobs in your field 62% Ability to negotiate payment 24% Working with more than 1 recruiter 7% Worked with only 1 agency at a time 6% Other 2% Among those who have worked with multiple agencies: What is your main reason for working with more than one agency at a time? 9 Research Prepared for

4 Competitive Compensation Levels are Key Competitive compensation is a driving influencer for locum tenens physicians when choosing an agency to work with. Recruiter relationships are also important, but a lower concern overall. The agency didn't have enough jobs with desired hospital/office Reasons to Change Locum Tenens Agencies 33% Agency did not provide competitive compensation 32% Recruiter was too pushy Not enough assistance with credentialing, etc. Agency did not have enough job opportunities 27% 27% 27% Didn't have a good relationship with your recruiter Recruiter didn't have enough time for you Recruiter wasn't interested in helping you with your career Poor industry reputation Recruiter didn't take the time to understand your career goals None of the above 18% 15% 14% 13% 12% 16% Among locum tenens physicians: For which of the following reasons, if any, would you change locum tenens agencies? 10 Research Prepared for

5 Compensation is More Important Than Recruiter Relationships What really matters to locum tenens physicians by a two to one margin is agency compensation. A majority of locum tenens physicians say compensation levels are more important than their recruiter relationships. 68% 32% Agency compensation levels Relationship with a recruiter Among locum tenens physicians: What is more important to you your relationship with your locum tenens recruiter or your agency s compensation levels? 11 Research Prepared for

6 Physicians Need More Than Reliable Recruiters Among potential locum tenens physicians, the ability to clearly explain agency contracts and processes is a key recruiter trait. For agencies to retain their current locum tenens, they need to have recruiters who listen to their physicians needs. Top Five Most Important Traits in a Recruiter Delivers on what they say they are going to do Clearly explains contracts and agency processes Helps with credentialing and obtaining licenses 30% 36% 38% 49% 45% 43% Listens to your needs 24% 37% Understands your specialty 14% 23% Work/worked LT Familiar with but haven't worked LT Among those familiar with locum tenens: From the list below, what are the most important traits in a locum tenens recruiter? 12 Research Prepared for

7 Support Services are Just as Important as Compensation Almost half (45%) of locum tenens physicians agree that an agency s handling of support services is the most important trait to them. This trait is right on par with competitive salary offerings. Most Important Traits of an Agency % Handles all support services (licensing, credentialing, travel and housing) 45% Competitive salary 45% Covers physician malpractice insurance 32% Has the job opportunity you are looking for in the right hospital/office setting Has strong relationships with the hospitals/offices you would like to work with 29% 14% Has experienced recruiters 12% Has an established industry reputation 9% Has strong customer service 9% Specializes in your field 5% Other 1% Among locum tenens physicians: From the list below, what are the most important traits when working with a locum tenens agency? 13 Research Prepared for

8 LT Physicians Want a Simplified Application Process The complicated process of becoming a locum tenens is viewed as a barrier by those familiar with it. Simplifying the application process is the #1 change locum tenens physicians would like to see made. Simplifying the locum tenens application process 31% More services such as licensing, credentialing, etc. Larger pool of job opportunities One point of contact for streamlined communications 18% 22% 22% More experience in your field or specialty 5% Other 3% Among locum tenens physicians: From the list below, what change would you most like to see at a locum tenens agency? 14 Research Prepared for

9 Physicians Want Stability Already having a full-time job and preferring the stability that comes with one are the main reasons why physicians do not consider working locum tenens. Positioning locum tenens as stable and consistent work will address this negative perception. Reasons for Not Working Locum Tenens % Had a full-time position or practice 56% Had a family to take care of and need stability 49% Prefer the stability of a full-time job 45% Constantly traveling and living out of a hotel is undesirable 23% Constantly moving to different hospitals/offices is undesirable 19% Locum tenens can't build relationships with their patients 16% Not having a consistent income 13% Locum tenens make less money than full-time physicians in the same field 7% Working locum tenens can be viewed as a negative mark on a resume/cv 5% Locum tenens physicians are often viewed as inexperienced 4% Working locum tenens doesn't build a strong resume or credentials 4% Locum tenens physicians are often assigned boring or unwanted cases 3% Other 2% Among non-locum tenens physicians: In the past, what reasons have kept you from working as a locum tenens physician? 15 Research Prepared for

10 The Search for Full-Time Work is a Top Agency Obstacle Among those who worked locum tenens in the past, a majority stopped because they found a full-time job elsewhere. Top 10 Reasons for Not Continuing with Locum Tenens % Found a full-time position or practice 52% Creating a sense of stability and offering higher compensation are important steps to retaining locum tenens physicians. Not having the stability of a full-time job 19% LTs make less money than full-time physicians in the same field 19% Wanted a more consistent income 19% Constantly traveling was hard on my family 18% Constantly traveling and living out of a hotel is undesirable 15% Locum tenens can't build relationships with their patients 13% Working locum tenens didn't build a strong resume or credentials 6% Didn't like the assignments you were receiving 6% Did not like the onboarding process at each facility 6% Among former locum tenens physicians: In the past, what reasons, if any, have kept you from continuing your work as a locum tenens physician? 16 Research Prepared for

11 Physicians are All Generally Familiar with Locum Tenens Nearly all physicians (93%) are familiar with the practice of locum tenens. Very/somewhat familiar 92% Familiarity with Locum Tenens % Very/somewhat familiar 93% Familiarity with Locum Tenens % 39% 7% 1% 46% 6% 1% Very familiar Somewhat familiar Not very familiar Not at all familiar To begin with, how familiar are you with locum tenens and the services they provide to hospitals and medical facilities? 18 Research Prepared for

12 Not a Deep Understanding of the Locum Tenens Practice Physicians are familiar with the locum tenens practice, but do not have a deep understanding of what being a locum tenens entails. Unfamiliar Areas of the Locum Tenens Practice % Unsure about the benefits of working as a LT physician 55% Unsure about how LTs are compensated 51% Unsure about how the LT service works in general 31% Unsure about the hours worked by LT physicians 28% Over half don t understand the benefits of working locum tenens Half don t understand how locum tenens compensation works Unsure about how to become a LT physician 25% Other 8% Among those somewhat familiar with locum tenens: From the list below, what areas of working locum tenens do you not fully understand? 19 Research Prepared for

13 Physicians Have Concerns, but They are Lukewarm Physician concerns center around the fundamental nature of working locum tenens temp care. These concerns are minor and inherent to working locum tenens. Ultimately, most physicians have positive impressions of working LT. Impressions of the Practice of LT 28% Very/somewhat positive 2012 = 92% 2013 = 91% 63% 9% Reasons for Less Than Very Positive Impressions % The lack of continual care for patients 63% Hard time getting to know a LT physician before they leave 42% Traveling from assignment to assignment is not ideal 34% LTs don't take time to understand the practice/facility 23% LTs leave all the patient paperwork/follow-up work for other physicians 15% LTs don't work as hard as full-time physicians 11% Locum tenens are paid less 8% Locum tenens aren't as experienced 7% None of the above 7% Very positive Somewhat positive Somewhat negative Very negative Overall, what is your impression of the practice of locum tenens staffing of physicians where the physician works on a temporary basis to fulfill a need when other physicians are absent or when a hospital or practice is short-staffed? Which of the following reasons, if any, gave you a less than very positive impression of locum tenens? 20 Research Prepared for

14 Most Non-LT Open to Locum Tenens Work for Supplemental Income Three in four physicians would consider working locum tenens to supplement their income. 21% 56% Would work part-time Would consider working parttime 23% Would not work part-time 77% would consider working locum tenens Among non-locum tenens physicians: Would you ever consider working locum tenens part-time to supplement your income? 22 Research Prepared for

15 Most LT Physicians are Working to Supplement Their Income 3 in 4 locum tenens are already working with the service as a means to supplement their income. 74% of physicians are already working locum tenens for supplemental income 27% 22% 19% 32% 100% of income Majority of income About 50% of income Less than 50% of income Among locum tenens physicians: Which of the following generally describes the income you earn/earned while working locum tenens? 23 Research Prepared for

16 Supplementing Income is the Main Reason for Working LT Physicians start working locum tenens to supplement their income, or to earn income during a transition. Working locum tenens is not about adventure or seeing new places. Top 10 Reasons for Working Locum Tenens To supplement your core income Worked while searching for a full-time position Between permanent jobs Find a practice that worked best before applying for position Personal life transition Between residency/fellowship to a full-time job To control your own schedule The salary was very appealing Wanted to see the country/world Serving rural or underserved areas 3% 5% 5% 6% 9% 8% 8% 14% 14% 19% Among locum tenens physicians: What is the main reason you started working locum tenens? 24 Research Prepared for

17 Reasons for Working LT May Change, but Not Really Though half (49%) of locum tenens physicians feel their reasons for working with the service have changed, they really haven t. The opportunity to earn additional income is still a main driver. Has your reason for working locum tenens changed? Top 10 Reasons You Now Work Locum Tenens % Worked while searching for a full-time position 22% Personal life transition 13% No 51% Yes 49% Between permanent jobs 13% To supplement your core income 12% The salary was very appealing 6% To find a practice that worked best for you before applying for a permanent position 6% Expanding experience through new cases 5% To avoid monotony and burnout 5% To control your own schedule 4% Wanted to see the country/world 4% Among locum tenens physicians: Has/did your main reason for working locum tenens changed? What is the main reason you currently work locum tenens/continued to work locum tenens? 25 Research Prepared for

18 Retirees Aren t Ready to Close Their Practice A majority of physicians who currently work in a private practice have no intention of closing shop once they reach retirement age. 42% Will close their practice 58% Will not close their practice Among physicians 50+ in a private practice: When you retire are you planning on closing your practice? 26 Research Prepared for

19 Physicians 50+ Will Continue Working After Retirement Physicians want to continue to work after reaching retirement age whether it s with their current hospital or practice, as a contractor, or as a locum tenens physician. 68% of physicians 50+ plan to work part-time after retirement age Retirement Plans 24% 24% 21% 14% 13% 6% Work part-time at current hospital or practice Consider contract work/ independent contractor Work locum tenens Volunteer in a related field Stop practicing medicine Other Among physicians 50+: When you retire, what do you plan to do? 27 Research Prepared for